Factors Delaying Hospital Admission After Acute Stroke

Abstract

The majority of patients who are candidates for acute stroke trials arrive at the hospital after prolonged delays for multiple reasons. Public and medical personnel education could result in signficant reduction in these delays.

Emergency Medicine Resident Work Productivity in an Academic Emergency Department

“…[4][5][6] The reasons for this prolonged delay are not well understood. [7][8][9] Several factors have been found to be associated with shorter delays from symptom onset to hospital arrival (out-of-hospital delay), including the presence of a bystander, 10 8,13,14 and the presence of symptoms on awakening. 13 Whether individuals with acute stroke view their symptoms as signaling a stroke may also impact care-seeking behavior.…”

Acil Servise Başvuran Akut İskemik İnmeli 124 Hastanın Geriye Yönelik Bir Yıllık İncelenmesi

“…Fakat ne yazık ki birçok hasta bu süre içerisinde acil serviste olamamaktadır. Literatürdeki çalışmalarda inme hastalarının ilk 3 saat içerisinde hastaneye başvurma oranı %21 ile %48 arasında değişmektedir (15,(32)(33)(34)(35) . Bu oran çalışmamızda %20.5 olarak saptandı.…”

“…Akut iskemik inmeli hastalar acil serviste uzun süre izlenmektedir. (34) ' nın Danimarka' da yaptıkları bir diğer çalışmada 1197 inme hastasının %25'inin ilk 3.5 saatte, Azzimondi ve ark. (35) ' nın İtalya'da yaptıkları 189 hastalık çalışmada hastaların %31'inin ilk 2 saat içinde başvurdukları görülmektedir.…”

Stroke Symptom Attribution and Time to Emergency Department Arrival: The Delay in Accessing Stroke Healthcare Study

“…[4][5][6] The reasons for this prolonged delay are not well understood. [7][8][9] Several factors have been found to be associated with shorter delays from symptom onset to hospital arrival (out-of-hospital delay), including the presence of a bystander, 10 calling 911, 5,[9][10][11] stroke subtype, 4,8 sudden onset of symptoms, 7 stroke severity, [5][6][7][8][9][10][11][12] time of day, 8,13,14 and the presence of symptoms on awakening. 13 Whether individuals with acute stroke view their symptoms as signaling a stroke may also impact care-seeking behavior.…”